TMPPM 2008 > Texas Medicaid Services > Maternity Service Clinic (MSC) > Benefits and Limitations

   
 

31.3.1.3 Laboratory Tests

The initial hematocrit or hemoglobin and each subsequent hematocrit or hemoglobin is included in the visit fee and is not separately reimbursable to MSCs.

The laboratory services listed may not be billed using the MSC provider identifier. They may be ordered by MSC personnel and provided by a reference laboratory.

MSCs referring laboratory work are required to supply the reference laboratory with the client's Medicaid number, as well as the MSC provider identifier for laboratory work including but not limited to:

Hemoglobin or hematocrit, or complete blood count (CBC).

Urinalysis.

Blood type and Rh.

Antibody screen.

Rubella antibody titer.

Serology for syphilis.

Hepatitis B surface antigen.

Cervical cytology.

Other laboratory tests.

The following tests may be performed at the initial antepartum care, as indicated:

Pregnancy test.

Gonorrhea test.

Urine culture.

Sickle cell test.

Tuberculosis (TB) test.

Human immunodeficiency virus (HIV) antibody screen.

Chlamydia test.

Multiple marker screens for neural tube defects must be offered if the client initiates care between 16 and 20 weeks.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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